1. Home
  2. Directory
  3. Oregon
  4. Portland
  5. Technician Pathology
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

STUMPTOWN MOBILE LAB SERVICES LLC
NPI 1326869579
Technician, Pathology - Phlebotomy in Portland, OR

Active since October 21, 2024CLIA 38D2313450 · Waiver
1355 NW EVERETT ST STE 100, PORTLAND, OR 97209(971) 433-5334(971) 200-8669 Get Directions Write a Review

NPPES record last updated: October 8, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

About Stumptown Mobile Lab Services Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STUMPTOWN MOBILE LAB SERVICES LLC (NPI 1326869579), doing business as Stumptown Mobile Lab Services, is a healthcare organization registered as a phlebotomy in Portland, Oregon and active in the NPI registry since October 2024. The organization holds a CLIA Waiver certificate valid through October 30, 2026 and lists Timothy L Seaton, Managing Director, as its authorized official.

NPPES Registry Identity

NPI1326869579
Entity TypeOrganization
Primary Taxonomy246RP1900X
Legal Business NameSTUMPTOWN MOBILE LAB SERVICES LLC
Location Address1355 NW EVERETT ST STE 100Portland, OR 97209-2655
Mailing Address1355 Nw Everett St Ste 100Portland, OR 97209-2655 · (971) 204-6819 · Fax (971) 200-8669
Phone(971) 433-5334
Fax(971) 200-8669
Organization SubpartNo
Authorized OfficialTimothy L SeatonManaging Director · (971) 204-6819
Enumeration DateOctober 21, 2024
Last NPPES UpdateOctober 8, 2026
NPPES CertifiedOctober 8, 2026
✔ NPI 1326869579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyTechnician, Pathology · PhlebotomyTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246RP1900X
Also ListedClinical Medical LaboratoryTaxonomy 291U00000X
1355 NW EVERETT ST STE 100, Portland, OR 97209
Open in Google Maps ↗

Other Names 1

Doing Business AsStumptown Mobile Lab Services

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 38D2313450

Stumptown Lab Services LLC · Portland, OR
Active · expires Oct 30, 2026
CLIA Number38D2313450
Laboratory TypeMobile Laboratory
Certificate Effective DateOctober 31, 2024
Certificate Expiration DateOctober 30, 2026
Laboratory DirectorTadhg L. Shannon
Laboratory Phone(971) 433-5334
Laboratory LocationStumptown Lab Services LLC1355 NW Everett St, Ste 100, Portland, OR 97209
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ARIA ALESSIA PEDIATRIC CLINIC, LLC
Behavior Analyst
1355 NW EVERETT ST STE 100
PORTLAND, OR 97209
Multnomah County (503) 610-3607
MR. MICHAEL THOMAS REXFORD JR.
Technician, Pathology (Phlebotomy)
1355 NW EVERETT ST STE 100
PORTLAND, OR 97209
Multnomah County (971) 433-5334
MR. TIMOTHY L SEATON LAC, LMT, CPT
Technician, Pathology (Phlebotomy)
1355 NW EVERETT ST STE 100
PORTLAND, OR 97209
Multnomah County (971) 433-5334

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stumptown Mobile Lab Services LLC's NPI number?

The NPI number for Stumptown Mobile Lab Services LLC is 1326869579. It was assigned to this organization in the NPPES registry on October 21, 2024. The provider is doing business as Stumptown Mobile Lab Services.

Where is Stumptown Mobile Lab Services LLC located?

Stumptown Mobile Lab Services LLC is located at 1355 NW Everett St Ste 100, Portland, OR 97209. The listed phone number is (971) 433-5334.

What is Stumptown Mobile Lab Services LLC's specialty?

The primary specialty registered for this NPI is Technician, Pathology, specializing in Phlebotomy, with taxonomy code 246RP1900X.

Does Stumptown Mobile Lab Services LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D2313450) is associated with this NPI, valid through October 30, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Stumptown Mobile Lab Services LLC was last updated on October 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.